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SIGNATURE HEALTHCARE OF JACKSONVILLE

The information listed below provides an in-depth look into the type and quality of care offered at Signature Healthcare of Jacksonville. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

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Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Signature Healthcare of Jacksonville. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Clinically Complex

Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1

ADL Index Range: 11-14

- No Signs of depression

0.3%

ADL Index Range: 6-10

- Signs of depression

1.6%

Total Percent:

1.9%

Rating Details For Signature Healthcare of Jacksonville

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per Day

Reported

Expected

Registered Nurse (RN) Hours

28 Minutes

1 Hour

Licensed Practical/Vocational Nurse (LPN/LVN) Hours

55 Minutes

36 Minutes

Certified Nursing Assistant (CNA) Hours

2 Hours and 52 Minutes

2 Hours and 18 Minutes

Total Licensed Nurse Hours

1 Hour and 24 Minutes

1 Hour and 36 Minutes

Total Nurse Hours

4 Hours and 15 Minutes

3 Hours and 53 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Florida are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This Facility

Florida Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season

90-100%

87%

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

90-100%

86%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight

7%

8%

Percent of Long-Stay Residents Who Had a Urinary Tract Infection

2%

11%

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder

57%

54%

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse

12%

9%

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder

3%

5%

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores

9%

12%

Percent of Long-Stay Residents Who Are More Depressed or Anxious

13%

10%

Percent of Long-Stay Residents Who Were Physically Restrained

-

5%

Percent of Long-Stay Residents Who Have Moderate to Severe Pain

1%

3%

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores

1%

3%

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased

13%

12%

Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair

3%

5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination

75%

81%

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season

75%

80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium

-

2%

Percent of Short-Stay Residents Who Have Pressure Sores

15%

14%

Percent of Short-Stay Residents Who Had Moderate to Severe Pain

2%

17%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/07/2011.

Degree of Harm

- Potential for Minimal Harm

- Minimal Harm or Potential for Harm

- Resident Harmed

- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated

- Some Residents

- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Environmental

Provide Needed Housekeeping and Maintenance.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Have a Program to Keep Infection from Spreading.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Make Sure That a Working Call System is Available in Each Resident's Room or Bathroom and Bathing Area.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 10/02/2008

Correction Date: 11/12/2008

Store, Cook, and Give out Food in a Safe and Clean Way.

Inspection Date: 01/07/2011

Correction Date: 02/06/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Properly Mark Drugs and Other Similar Products.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.

Inspection Date: 01/07/2011

Correction Date: 02/06/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.

Inspection Date: 10/02/2008

Correction Date: 11/12/2008

Give Professional Services That Follow Each Resident's Written Care Plan.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Give or Get Dental Care for Each Resident.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Resident Rights

Provide Enough Notice Before Discharging or Transferring a Resident.

Inspection Date: 10/02/2008

Correction Date: 11/12/2008

Keep Each Resident's Personal and Medical Records Private and Confidential.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Send and Promptly Deliver Unopened Mail to Residents.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Give Enough Notice to the Resident Before Changing the Resident's Room or Roommate.

Inspection Date: 12/04/2009

Correction Date: 01/07/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Signature Healthcare of Jacksonville had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/07/2011.

Degree of Harm

- Potential for Minimal Harm

- Minimal Harm or Potential for Harm

- Resident Harmed

- Immediate Jeopardy to Resident Health

Residents Affected

- Isolated

- Some Residents

- Many Residents

Deficiencies Found By Inspectors

Degree of Harm

Residents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.

Inspection Date: 10/02/2008

Correction Date: 11/05/2008

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.

Inspection Date: 10/02/2008

Correction Date: 11/05/2008

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.